Organization Active NPI

PA Labs Inc

  • Clinical Medical Laboratory
  • Fort Wayne, IN
National Provider Identifier
1346421088
Registry record updated Jan 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PA LABS INC
Practice address
7635 W Jefferson Blvd
Fort Wayne, IN 46804-4133
Phone
(765) 471-5605
NPI assigned
Nov 23, 2007
Organization subpart
Yes
Parent organization
LABORATORY CORPORATION OF AMERICA HOLDINGSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 23, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. William B Hayes
Title
Cfo Evp Treasurer
Phone
(800) 222-7566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

7635 W Jefferson Blvd
Fort Wayne, IN 46804-4133

Mailing address

PO Box 2240
Burlington, NC 27216-2240
Phone (800) 222-7566

National Provider Directory

National Provider Directory
Part of
Labcorp of Am Holdings-KS

Locations

899 Aigner Dr
Boonville, IN 47601
Phone (812) 473-7273

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1346421088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2240",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272162240",
            "telephone_number": "800-222-7566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7635 W JEFFERSON BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044133",
            "telephone_number": "765-471-5605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PA LABS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LABORATORY CORPORATION OF AMERICA HOLDINGS",
        "enumeration_date": "2007-11-23",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CFO EVP TREASURER",
        "authorized_official_telephone_number": "800-222-7566",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.